■卵巢囊腺纤维瘤是一种相对罕见的良性肿瘤(Groutz等人。,1994)从卵巢上皮和基质发展而来。这个肿瘤可以是实性的,囊性的,或半固体,取决于它所包含的上皮和基质的分数以及组成它的上皮的分泌活性。
方法:我们报告了一名58岁的多胎患者因盆腔疼痛就诊,并要求进行MRI检查,客观化存在大量的卵巢起源。该患者自51岁起已绝经,未接受激素替代疗法。她在治疗中患有高血压共患病4年。术前超声显示卵巢出现,良好的回声质量,胞吞植被的位置,测量8.48mm×7.30mm长轴。
■这种雌激素过多症的机制被认为是肿瘤本身分泌过多的激素。
结论:囊腺纤维瘤在CT或MR图像上具有恶性的形态学影像学特征。在组织学上,囊性肿瘤中的实体成分与纤维间质相关,纤维间质在影像学检查中偶尔会出现恶性假阳性结果.
UNASSIGNED: Ovarian cystadenofibroma is a relatively rare benign tumor (Groutz et al., 1994) that develops from the
ovarian epithelium and stroma. This tumor can be solid, cystic, or semi-solid, depending on the fraction of epithelium and stroma it contains and the secretory activity of the epithelium that composes it.
METHODS: We report the
case of a 58-year-old multiparous patient who consulted for pelvic pain and for whom an MRI was requested, objectifying the presence of a mass of
ovarian origin. The patient had been menopausal since the age of 51 and was not taking hormone replacement therapy. She had comorbid hypertension for 4 years under treatment. Preoperative ultrasound showed an
ovarian-appearing, finely echogenic mass, site of endocystic vegetation, measuring 8.48 mm × 7.30 mm long axis.
UNASSIGNED: The mechanism underlying this hyperestrogenism is considered to be hypersecretion of the hormone by the tumor itself.
CONCLUSIONS: cystadenofibromas had morphologic imaging features of malignancy on CT or MR images. On histology, solid components in the cystic tumors were correlated with fibrous stromas that occasionally made a false positive result for malignancy on imaging.